Telma George Madathikunnel

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

705594 Issued in TX

Practice address

403 Jennifer TRL
Grand Prairie, TX 75052-2817

Phone

(972) 642-7717

NPI assigned

Nov 9, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1396072583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 JENNIFER TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 JENNIFER TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522817",
            "telephone_number": "972-642-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADATHIKUNNEL",
        "first_name": "TELMA",
        "middle_name": "GEORGE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "705594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Omar Jesus Magdaleno, DPT
• Maggie'S Extended Home Care LLC

• Registered Nurse in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.